Neocal D 

Presentation: Film-coated tablets containing Calcium Carbonate and Vitamin D3 (Cholecalciferol). Available in various strengths, common presentations include:

• Calcium Carbonate 1250 mg (equivalent to elemental Calcium 500 mg) and Vitamin D3 200 IU.
• Calcium Carbonate 1500 mg (equivalent to elemental Calcium 600 mg) and Vitamin D3 400 IU. Available in strips. Manufactured by Beximco Pharmaceuticals Ltd. in Bangladesh.

Ingredients: Calcium Carbonate BP and Vitamin D3 BP (Cholecalciferol). The specific amount of elemental Calcium and Vitamin D3 will be mentioned on the product packaging.

Indications: Indicated for the treatment and prevention of calcium and Vitamin D3 deficiency. It is used in conditions such as:

• Osteoporosis.
• Osteomalacia.
• Rickets.
• Tetany.
• Hypoparathyroidism.
• As a supplement during pregnancy and lactation.
• In elderly patients.
• May also be used as a phosphate binder in chronic renal failure (under medical supervision).

Dosage and Administration: Dosage depends on the strength of the tablet and the individual's needs, as directed by a physician. Typical adult dosage is one tablet once or twice daily, preferably with or just after a meal to improve absorption.

Side Effects: Generally well-tolerated. Possible side effects may include flatulence, diarrhea, constipation, and upper gastrointestinal discomfort. Hypercalcemia (high calcium levels in the blood) may rarely occur with prolonged use.

Precautions: Contraindicated in patients with hypercalcaemia, hypercalciuria, hyperparathyroidism, nephrolithiasis (kidney stones), and severe renal insufficiency. Caution should be exercised in patients with mild to moderate renal impairment and a history of renal stones. May interact with certain medications, including thiazide diuretics, tetracycline antibiotics, bisphosphonates, and digoxin. Separate administration times may be necessary.

Storage: Store in a cool and dry place, protected from light and moisture. Keep out of reach of children. Store below 30°C.

Important Note: This information is for general knowledge and informational purposes only, and does not substitute professional medical advice. Always consult your doctor or pharmacist for specific instructions and guidance regarding your medication. They can assess your individual medical condition and provide the most appropriate advice.